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RAD 2425 Syllabus, NEW YORK CITY COLLEGE of TECHNOLOGY

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RAD 2425 Syllabus, NEW YORK CITY COLLEGE of TECHNOLOGY NEW YORK CITY COLLEGE OF TECHNOLOGY THE CITY UNIVERSITY OF NEW YORK Department of Radiologic Technology & Medical Imaging RAD 2425 Advanced Radiographic Studies Course Outline / Learning Outcomes Spring 2019 Prof. A. DeVito, MA, RT (R) A 415 C [email protected] Office: A-415C Revised 1/19 RAD 2425 Advanced Radiographic Studies PREREQUISITES: RAD 2325, RAD 2326, RAD 2327, RAD2328 COREQUISITES: RAD 2426, RAD 2427, RAD 2428 COURSE OBJECTIVES: ● The student will have a strong knowledge of advanced radiographic studies as it relates to the field of radiography and the radiology department. ● The student will be able to demonstrate advanced patient positioning and have a broad knowledge of human anatomy. ● The study will understand the physics and instrumentation needed to operate advanced imaging equipment. ● The study will demonstrate communication skills through a collaborative case presentation. I. COURSE DESCRIPTION Instruction in the principles and practice of advanced radiographic procedures and equipment. II. COURSE GOAL To increase the student’s knowledge of various types of special procedures which utilize contrast media, sterile technique and specialized equipment. To give the student a sound background in specific anatomy and positioning for neuroradiography and other specialization procedures. To give the student a thorough understanding of the specialized equipment utilized for special procedures, special injection techniques, filming methods and patient care. III. PREREQUISITES See College Catalog. IV. TEXT Required: 1. Snopek, Albert M., Fundamentals of Special Radiographic Procedures, 5th Edition. W.B. Saunders Co., Philadelphia, Pennsylvania 2006. 2. Ballinger, Phillip W., Merrill’s Atlas of Radiographic Positions and Radiographic Procedures, 10th Edition, C.V. Mosby Co., St. Louis Missouri, 2003. – Vol. 1, 2 & 3 Reference: 1. Torres, Lillian S. and Morrill, Carol. Basic Medical Techniques and Patient Care for Radiologic Technologists, 4th Edition, J.B. Lippincott Co., Philadelphia, Pennsylvania, 1993. V. COURSE REQUIREMENTS Two hours of lecture each week for 14 weeks, with reading assignments and written homework. Final examination in the 15th week. VI. MEANS OF ASSESSMENT Class Participation: Students are expected to participate in all classes and class activities through discussion, inquiry and individual or group activities both in the classroom and in the laboratory sessions. Average of quizzes (2) and homework…………………. 15% Course Participation (includes day to day participation in class and class activities) 10% Midterm Exam ………………………………………… 25% Group Project on Writing and Oral Presentation… 10% Final Exam …………………………………………….. 40% 100% VII. GROUP PROJECT ON COLLABORATIVE WRITING AND ORAL PRESENTATION Students will be assigned to project groups according to the hospital to which they are assigned. Writing assignment is due on week 13 and oral presentation is due on week 14 of the lecture schedule. Please refer to the handout – Class Project for RAD 2425 for further details. All quizzes will be given during the last 15 minutes of class. Students who are absent or late will NOT be given a make-up quiz. A grade of zero will be entered for quizzes missed. The lowest quiz grade will be dropped. VIII. COURSE ASSESSMENT This course should be passed with a grade of “C” or better. Student should refer to College Catalogue for grading policy. IX. CLASSROOM CONDUCT No cellular phone or beeper interruptions during class (Turn off before class). No talking during instructor’s lectures or when another student is speaking. Food and drinks are not allowed in the classroom at any time X. ACADEMIC INTEGRITY Cheating is an unauthorized use or an attempted use of material, information, notes, study aid, devices or communication during an academic exercise which may lead to failure of the course and expulsion (See Department Academic Integrity Policy). RAD 2425 Course Outline Week I. ROOM INSTALLATION RADIOGRAPHIC EQUIPMENT a. Special Procedures b. Room Design 2. Size 3. Storage Facility 4. Lighting Facility 5. Location 6. Preparation room 7. Post-procedural / recovery area C. Radiographic Equipment D. Additional Equipment E. Generators F. X-Ray Tubes G. Processing Areas II. IMAGE RECORDING SYSTEMS NURSING PROCEDURES A. Introduction B. Rapid Serial Film Changer C. Magnetic Recording Devices D. Laser Imaging Systems E. Photofluorography Systems F. Serial Spot Film Cameras H. Related Terminology a. Biplane b. Biphasic c. Multiphase d. Interventional I. Direct Imaging Systems J. Indirect Imaging Systems K. Basic Patient Care in Special Procedures III. INJECTORS & INSTRUMENTATION a. Introduction b. Advantages c. Disadvantages d. Control Panel e. Syringes (single and dual) f. Heating Devices g. High Pressure Mechanism h. Flow Rate i. Contrast Delivery j. Safety Devices k. Acceleration Regulators l. Pressure Limiting Devices m. Function-Monitoring Devices n. Air Detection Devices IV. PHARMACOLOGY & CONTRAST MEDIA EMERGENCY KIT – PHARMACEUTICALS A. Introduction B. Drug Administration C. Types of Positive Contrast Agents D. Barium Sulphate Compounds E. Oil-Based Iodine Media RAD 2425 / RT 425 Course Outline F. Aqueous Iodine Media G. Reactions to Contrast Media H. Emergency Treatment I. Pharmacoangiography J. Negative Contrast Agents K. Physical Characteristics of Contrast Agents L. General Classification of Contrast Reactions M. Related Terminology a. Creatinine b. Flocculation c. Miscibility d. Persistence e. Osmolality f. Hyperosmolality g. In situ h. Occlusion i. Embolization j. Suspension V. PATIENT CARE & METHODS OF ANGIOGRAPHY PROCEDURES (CATHETERIZATION) A. Introduction B. Catheters C. Sizes D. Types E. Multipurpose F. Advantages G. Disadvantages H. Guide Wires I. Length J. Precautions K. Needles L. Related Terms i. Seldinger Technique ii. Seldinger Compound Needle VI. RESPIRATORY SYSTEM A. Anatomy of the respiratory system B. Bronchography Definition C. Indications D. Contraindications E. Equipment F. Patient Preparation G. Contrast Media H. Examination Procedure I. Radiographic Procedure J. Post-Procedural recovery URINARY SYSTEM K. Retrograde Cystography L. Indications M. Contraindications N. Equipment O. Patient Preparation P. Contrast Media Q. Examination Procedure R. Radiographic Procedure RAD 2425 Course Outline S. Exams of Interest: a. Intravenous Urography b. Retrograde Urography c. Antegrade Filling VII. MIDTERM EXAMINATION (NO LECTURE) VIII. NEURORADIOGRAPHY – (VERTEBRAL COLUMN) Introduction Anatomical Considerations A. Indications B. Contraindications C. Equipment D. Patient Preparation E. Contrast Media and Injection Procedure F. Examination Procedure G. Radiographic Procedure H. Post-Procedural recovery IX. NEURORADIOGRAPHY – (CNS) Introduction Anatomical Considerations I. Indications J. Contraindications K. Equipment L. Patient Preparation M. Contrast Media and Injection Procedure N. Examination Procedure O. Radiographic Procedure P. Circulation Time Q. Post-Procedural recovery X. VASCULAR ANGIOGRAPHY A. Introduction B. General Principles C. Anatomical Considerations D. Indications E. Contraindications F. Risks of Catheterization G. Equipment H. Patient Preparation I. Contrast Media and Injection Procedure J. Examination Procedure K. Radiographic Procedure L. Related Terminology M. Post-Procedural recovery XI. THERAPEUTIC CATHETERIZATION VASCULAR INTERVENTIONAL PROCEDURES A. Introduction B. Historical Perspectives C. Anatomical Considerations D. Indications E. Contraindications F. Equipment G. Patient Preparation and Precatheterization care RAD 2425 Course Outline H. Catheterization Care I. Contrast Media and Injection Procedure J. Examination Procedure K. Interventional Procedure L. Radiographic Procedure M. Related Terminology N. Post-Procedural recovery XII. NONVASCULAR PROCEDURES - DIGESTIVE SYSTEM: SIALOGRAPHY & ERCP A. Introduction B. Anatomical Considerations C. Indications D. Contraindications E. Equipment F. Patient Preparation G. Contrast Media and Injection Procedure H. Examination Procedure I. Radiographic Procedure J. Related Terminology K. Post-Procedural recovery XIII. REPRODUCTIVE SYSTEM ARTHROGRAPHY LYMPHANGIOGRAPHY A. Introduction B. Historical Perspectives C. Anatomical Considerations D. Indications E. Contraindications F. Equipment G. Patient Preparation H. Contrast Media and Instillation Procedure I. Examination Procedure J. Interventional Procedure K. Radiographic Procedure L. Related Terminology M. Post-Procedural recovery XIV. GROUP PROJECT ORAL PRESENTATION ON COLLABORATIVE WRITING & REVIEW FOR FINAL EXAM XV. FINAL EXAM RAD 2425 Learning Outcomes Week 1 Condition: Lecture which introduces the student to the essential installation features of a neuroangiographic special procedures room and specialized equipment which may be necessary for vascular and neuroradiographic procedures. Learning Outcomes: At the end of the lecture, the student will be able to: 1. Discuss the variables upon which the neuroangiographic special procedure room depends. 2. List essential and optional specialized equipment necessary for a neuroangiographic and vascular procedure. 3. Discuss the type of x-ray tube utilized for neuroangiographic and vascular procedures. 4. Describe the type of x-ray tube utilized for neuroangiographic and vascular procedures. 5. List and discuss factors that affect radiographic quality. 6. Discuss the types of tube rating charts and the necessity to refer to them before an exposure is made. Week 2 Condition: Lecture on the basic types of rapid serial changers, the operation,
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